Stonebay Senior Housing

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STONEBAY SENIOR HOUSING

Practice address

2635 Kelley Pkwy
Orono, MN 55356-4556

Phone

(952) 322-9601

NPI assigned

Feb 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashish Aggarwal

Title

Owner

Phone

(952) 322-9601

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1073269486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN STE 301",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 KELLEY PKWY",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "553564556",
            "telephone_number": "952-322-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBAY SENIOR HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-322-9601"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A446600000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Pfeiffer
• Thomas Lee Sawyer Jr., PSYD LP LICENSED PSY
• Michael J Skramstad, D.D.S.
• Kevin Smith
• Marshall Stanton, M.D.

• Assisted Living Facility in Orono, MN
• Providers in Orono, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.